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提高输血疗效必须首先完善输血前血液的相容性试验
引用本文:朱自严. 提高输血疗效必须首先完善输血前血液的相容性试验[J]. 中华检验医学杂志, 2009, 32(2). DOI: 10.3760/cma.j.issn.1009-9158.2009.02.004
作者姓名:朱自严
作者单位:输血研究所,上海市血液中心,200051
摘    要:血型鉴定与相容性试验直接关系到输血疗效.为避免严重的输血反应,有较多新的免疫血液学技术与方法正逐步应用于输血实验室,如凝胶试验、单核细胞单层分析试验以及血型基因分析等.在这些技术中,有些可提高检测的灵敏度和自动化水平,有些则可更为准确地预示输血后红细胞在体内存活状态.运用这些技术,可使输血的相容性明显提高.虽然在解决疑难血型问题时,并没有通用的方法,但医务工作者可通过选择不同免疫血液学技术进行组合,也可及时为患者提供合适的血液.

关 键 词:血型鉴定和交叉配血  组织相容性试验

Improving the efficacy of blood transfusion by choosing an appropriate method for compatibility test
ZHU Zi-yan. Improving the efficacy of blood transfusion by choosing an appropriate method for compatibility test[J]. Chinese Journal of Laboratory Medicine, 2009, 32(2). DOI: 10.3760/cma.j.issn.1009-9158.2009.02.004
Authors:ZHU Zi-yan
Abstract:Blood typing and compatibility testing directly affect curative effects of blood transfusion.To avoid severe blood transfusion reactions, more and more new immunohematology technologies and methods are becoming gradually applied to blood transfusion laboratories.Gel test, monocyte monolayer assay and analysis of blood group genes have been confirmed to be beneficial on improving the sensitivity and automatization.Some technologies can predict red cell survival in vivo more accurately.It can improve the efficacy of blood compatibility before transfusion by using these technologies.There is no general methods used in solving of complex serological problems, but medical staffs can provide appropriate blood for different sufferers by using different technologies at the right time.
Keywords:Blood grouping and grossmatching  Histcompatibility testing
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